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Quality Improvement Consultant - Remote/Field in WA

Optum
401(k)
United States, Washington, Olympia
Dec 25, 2024

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

For you, quality counts. For UnitedHealthcare, part of the UnitedHealth Group family of businesses, delivering quality care starts with processes and documentation standards that are the best in our industry. As a Senior Clinical Quality Analyst, you'll be a force for positive change, guiding the development of comprehensive care plans that will help others live healthier lives. Join us and help guide our efforts to improve the patient experience.

If you are located in near Olympia, WA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:



  • Develop market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS or higher
  • Provide analytical interpretation and recommendations of Stars and HEDIS reporting, including executive summaries to provider groups
  • Be the primary subject matter expert for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations
  • Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider and large group performance and market performance as requested by or required by Quality or Regional leadership
  • Analyze and evaluate provider and large group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
  • Assist in developing of training and analytical materials for Stars and HEDIS
  • Assist in developing department strategic action plans
  • Develop and implement effective analysis, research, and evaluation of market performance
  • Performs all other related duties as assigned



You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:



  • 3+ years of health care experience
  • 2+ years of experience in HEDIS/Star programs
  • 2+ years of experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve outcomes
  • 2+ years of experience in provider facing interactions, including provider education
  • 2+ years of experience with data analysis. Must be able to review data and provide recommendations for improvement
  • Ability to extract, analyze and present data
  • Proficiency with Microsoft Windows Suite (PPT, Excel, Word, Visio)
  • Reside near Olympia, WA



Preferred Qualifications:



  • Unrestricted and active RN license
  • Experience with platforms such as Smartsheet and/or Salesforce
  • Experience with medical records review
  • Proven knowledge of quality improvement concepts, such as Six Sigma, Lean, and/ or PDSA



*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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